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LEAH WILSON M.D.
NPI 1033430707
Obstetrics & Gynecology in Worcester, MA

Active since June 17, 2010PECOS EnrolledAccepts Medicare Assignment
89.86/100
CMS Quality Rating
328 SHREWSBURY ST, STE 100, WORCESTER, MA 01604(508) 755-4861(508) 752-1392 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Leah Wilson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEAH WILSON M.D. (NPI 1033430707) is an individual obstetrics & gynecology provider in Worcester, Massachusetts, licensed in Massachusetts (245037) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of University Of Pittsburgh School Of Medicine (2010).

NPPES Registry Identity

NPI1033430707
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLEAH WILSONCredential: M.D.
Location Address328 SHREWSBURY ST, STE 100Worcester, MA 01604-4613
Mailing Address328 Shrewsbury St, Ste 100Worcester, MA 01604-4613 · (508) 755-4861 · Fax (508) 752-1392
Phone(508) 755-4861
Fax(508) 752-1392
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2010
Enumeration DateJune 17, 2010
Last NPPES UpdateNovember 30, 2016
✔ NPI 1033430707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MA · 245037
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
328 SHREWSBURY ST, Worcester, MA 01604
Open in Google Maps ↗

Other Identifiers 2

Medicare PINS400163701MA
Medicaid110098150AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leah Wilson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446479695
PECOS Enrollment IDI20140919001725
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.17
Promoting Interoperability100
Improvement Activities40
Cost73.04

Reported Quality Measures

Breast Cancer Screening
76%103 patients4/55-star benchmark: 93%
Cervical Cancer Screening
94%622 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
27%52 patients2/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
84%1,057 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
36%526 patients2/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 16% · 650 patients
15%650 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELANA L RUDAVSKY M.D.
Psychiatry & Neurology (Psychiatry)
328 SHREWSBURY ST, # 252
WORCESTER, MA 01604
Worcester County (508) 797-1767
AMY PODOLSKI CHANG M.D.
Obstetrics & Gynecology
328 SHREWSBURY ST, SUITE 100
WORCESTER, MA 01604
Worcester County (508) 755-4861
TIFFANY M FORTI M.D., M.P.H.
Obstetrics & Gynecology
328 SHREWSBURY ST, STE 100
WORCESTER, MA 01604
Worcester County (508) 755-4861
KERRI E OSTERHAUS-HOULE MD
Obstetrics & Gynecology
328 SHREWSBURY ST, STE 100
WORCESTER, MA 01604
Worcester County (508) 755-4861
MICHAEL GEORGE FRANGIEH MD
Obstetrics & Gynecology
328 SHREWSBURY ST
WORCESTER, MA 01604
Worcester County (508) 755-4861
DR. AUSTIN BASS DO
Family Medicine
328 SHREWSBURY ST
WORCESTER, MA 01604
Worcester County (508) 757-5520
PETER C DAVIDOW MD
Obstetrics & Gynecology
328 SHREWSBURY ST, SUITE 100
WORCESTER, MA 01604
Worcester County (508) 755-4861
DR. JUNE R O'CONNOR M.D.
Obstetrics & Gynecology
328 SHREWSBURY ST, STE 100
WORCESTER, MA 01604
Worcester County (508) 755-4861

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leah Wilson's NPI number?

The NPI number for Leah Wilson is 1033430707. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Where is Leah Wilson located?

Leah Wilson practices at 328 Shrewsbury St Ste 100, Worcester, MA 01604. The listed phone number is (508) 755-4861.

What is Leah Wilson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Leah Wilson enrolled in Medicare?

Yes. Leah Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Leah Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield list Leah Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Leah Wilson affiliated with any hospitals?

According to CMS data, Leah Wilson is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Leah Wilson was last updated on November 30, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.